Ob cms term - Study guides, Class notes & Summaries

AAPC CPB Practice Exam with complete rated solutions Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. ...

ACHE BOG QUESTIONS & ANSWERS 2023/2024 UPDATE ACHE BOG QUESTIONS & ANSWERS 2023/2024 UPDATE According to the Code of Ethics, one way executives can avoid or minimize negative implications of conflict of interest is: a) develop a PR plan to address conflict of interest scenarios b) not participate in specific decisions where conflict may exist c) ensure members submit annual holdings for inspection d) make the conflict known to those in superior positions correct answerD ...

Which of the following si true about a capitated Managed Care Organization (MCO) arrangement: a) The provider shifts financial risk to the MCO b) The provider can bil separately for each service provided c) The provider must wait to bil the MCO until services have been provided to a patient d) The provider is paid a set fee - answer-d) The provider is paid a set fee Which of the following is a unit of measure commonly used to determine provider productivity? a) RVU b) CMS c) IPA ...

HCCA - CHC Study Questions (MASTER FLASHCARDS) True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

Nursing Informatics Test 1|106 Questions with Verified Answers What is informatics - CORRECT ANSWER •Informatics - computer information systems science •Nursing Informatics - A subspecialty of nursing that focuses on managing information pertaining to nursing •Healthcare Information Technology (HIT) - Focuses on information management, not computers •Information management is an integral part of nursing We are not taking this class to learn about computers and to be IT techs. W...

RHIA Exam 292 Questions with Verified Answers An audit trail is a good tool for which of the following? - CORRECT ANSWER Reconstructing electronic events The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on the facts given: - CORRECT ANSWER children's hospital must have notified the patients or patients guardians of this disclosure in the notice of priva...

CRC Practice Exam Review Questions with accurate answers, 100% Accurate, Graded A+ Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor - -I and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. Documenta...

FACHE Practice Test Questions and Answers Already Passed According to ACHE's Code of Ethics, one way that healtcare executives can avoid or minimoze the negative implications of conflict of interest Make the conflict known to those in superior positions The principles of quality improvement require that healthcare exectutive change their management philosophy from Finding fault with employees to finding problems in processes What type of problems arises when a healthcare executive knowingly ...

CRC Practice Exam Review Questions and answers, 100% Accurate, rated A+ Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor - -I and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. Documentation that v...

C425 Wgu 2022, Exam Questions with accurate answers, rated A+ What is the dominant healthcare delivery system in the USA Managed care, employers and government are primary suppliers What Population does the VA serve Veterans TRICARE is insured for military personnel active and non-active Describe the affordable care act and its role in healthcare reform Main goal was to expand coverage increase access to care Medicaid expansion and take away pre-existing conditions List for key charac...